The elbow joint is commonly affected by sport and work-related overuse. Tennis and golfer’s elbow are the most common conditions arising from such overuse. In the tennis elbow condition the tendons on the outside of the elbow generally tear with forceful repetitive pulling and gripping actions that involve wrist and finger extension. Repetitive fine motions of the wrist and fingers with keyboarding and mouse use are also risk factors. Golfer’s elbow tendon injury is seen on the inside of the elbow and is a product of repetitive swinging, gripping, pushing motions that involve wrist and finger flexion. Weakness of the core and larger arm and leg muscles are often at the root of the elbow overuse. The pain can come from osteoarthritis, overused tendons, and nerves that run through the elbow and are susceptible to chronic stress.
A thorough examination is conducted on every patient. Dr. Kaplan’s osteopathic training allows us to diagnose small subluxation of the elbow joint that can be a source of a previously undiagnosed source of pain. Gentle manipulation is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of elbow problems. High-resolution ultrasound imaging is advanced enough to see cubital tunnel related nerve injury, tendonitis and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI can be used for further assessment.
Elbow joint and tendon problems are a common source of wrist and shoulder pain.
A combination of ligamentous instability, cartilage degeneration, and joint inflammation are typically the underlying cause.
OWM Integrative Wellness offers cutting-edge effective treatments to include dextrose prolotherapy, PRP, stem cell and peptide therapy to help the elbow region region heal naturally.
Frequently, the injured area of the elbow is a victim of underlying instability. Dr. Kaplan utilizes the Hacket and Hamwell Method to treat the entire elbow ligament-tendon complex to promote joint stabilization and tendon repair. Unlike a more commonly used target-specific approach where just the tendon that hurts is injected, our technique restores stability to the areas around the injury. This not only allows for better healing of painful area but prevents recurrence of breakdown of the area in the future.
Concentrated dextrose solution is the first line of our regenerative treatments. When injected around the ligaments and tendons of the elbow, it promotes ligament regeneration and small tendon tear repair.
PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes torn tendon regeneration and repair of worn ligaments. PRP Prolotherapy technique is used in more advanced tendon and ligaments tears. It directly delivers growth factors in the damaged tissue and activates a signaling mechanism that stimulates the body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.
Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected into the injured areas of the shoulder. Direct delivery of mesenchymal stem cells into the affected shoulder area allows for repair by growth of new healthy tissue.
Dr. Kaplan’s in-depth knowledge of peptide therapy allows him to stimulate repair and regeneration with specifically selected peptides. Tissue repairing peptides BPC and Thymosin beta 4 are used in the injection solutions and CJC/ Ipamorellin is often used to stimulate stem cell activity prior to the procedure.
These peptides stimulate and enhance, Dextrose prolotherapy, PRP and Stem cell’s regenerative potential.
Ultrasound guided approach ensures accurate and safe placement of regenerative solutions directly into the shoulder joint and surrounding injured tissues.
Dr. Kaplan uses solutions that are natural and are extremely well tolerated.